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Physician Compare National (NPI:1205221405)

HEALTHCARE PROVIDER: JOSHUA BRAD OAKS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1205221405
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0244594729
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20180509001485
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name OAKS
Individual professional last name
Provider First Name JOSHUA
Individual professional first name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2015
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 520 MEDICAL DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 300
Group Practice or individual's line 2 address
City BOUNTIFUL
Group Practice or individual's city
State UT
Group Practice or individual's state
Zip Code 840108925
Group Practice or individual's zip code (9 digits when available)
Phone Number 8012921422
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 460042
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 LAKEVIEW HOSPITAL
Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2 460006
Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2 LDS HOSPITAL
Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3 460009
Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3 UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4 460010
Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4 INTERMOUNTAIN MEDICAL CENTER
Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5 460061
Medicare CCN of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment Y

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